Our collective interoperability journey

If you remember the CHIN (Community Health Information Network) attempts in the 1990s or the next incarnation in the mid-2000s referred to as RHIOs (Regional Health Information Exchange), you know we’ve been on this interoperability journey in health care a very long time. And it’s not over.

Creating sustainable Health Information Exchanges (HIE), not to be confused with a Health Insurance Exchange, is what we are all focused on now. The Office of the National Coordinator for Health IT (ONC) published “Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap” for public comments earlier this year. There has been progress over the years but we still have a long ways to go.

The ability to easily access and share data with other health care providers in Michigan is critical for UMHS – we are the only provider in the state that serves patients from every county. But HIEs are important for all providers regardless of their reach.  For example, when a patient shows up at an emergency room away from their primary hospital and physician, basic information should be readily available.  This includes a patient’s current problem summary list, allergies, chronic conditions, and medications.  Having this kind of information can make a qualitative difference in their care. And knowing that a certain test or procedure has recently been done along with the results can avoid duplication, saving both time and money.

Yet, unlike other industries where basic information is easily accessible and shared, health care lags far behind. Continue reading →

In a bow: HIMSS15 wrap up

The biggest HIT event of the year is over – more than 43,000 attendees, over 300 education sessions, and over 1,200 exhibitors. Say what you want about the long taxi lines at the end of the day, all in all the service provided by HIMSS, hotel and convention staff was great. Say what you want about the slow performance of the HIMSS15 mobile app, there were many other ways to find out what was happening and where you needed to be. I will say though that our UMHS users would be all over me if our systems had such slow performance – I guess for an app that has the life cycle of a 4 day conference, you can get away with it. But let’s hope for improvements next year!

I’ll leave the deep analysis on market trends, vendors, and big announcements to the professionals who write for a living. I have a day job to get back to. But I will share a few highlights and thoughts after my time in Chicago: Continue reading →

If not now, when?

How often have you put off scheduling a doctor appointment or preventive test because you’re just too busy? Do you keep up your exercise routine when you’ve got a big project and key deadline looming?  Do you have someone who helps keep you honest on these basic “taking care of yourself” things?YourHealthYourChoice

Have to admit I’m not the best but I am turning it around. Learned many years ago I’m the only one who can take care of me. No one is going to come into my office and say go home, you’re working too hard.

I have a gym membership and dogs that need to be walked. And it’s gorgeous here in Ann Arbor these days so I love being outside.

But I’ve also learned
that I do best at taking care of myself when I’ve got people who keep me honest. Some ideas from my recent experience: Continue reading →

HIE merger for the greater good

Common goals are a key to success for any business venture. But for a merger, negotiating common goals and how best to achieve them is especially critical. I saw this again in the case of the Great Lakes Health Connect (GLHC) – a very recent merger of two major Michigan substate HIEs: Great Lakes Health Information Exchange (GLHIE) and Michigan Health Connect (MHC).

Michigan has had multiple substate HIEs organized by regional markets. While this was a conscious Win-win puzzlestrategy several years ago, many health care leaders had come to question it over time. However, the obstacles seemed too difficult to overcome, and inertia prevented change. So the two major HIEs grew and became stronger and more competitive. Provider organizations in some regions were torn between the two and faced limits in the data they could access. Other organizations sat on the sidelines waiting for one to prevail.

Continue reading →